Individual
MS. SUSAN M GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
70 MAIN ST, NORTHAMPTON HEALTH CENTER, FLORENCE, MA 01062-1466
(413) 586-8400
(413) 585-5435
Mailing address
PO BOX 8019, SPRINGFIELD, MA 01102-8000
(866) 431-4077
(413) 774-7448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351491
—
MA
01
—
1293396
FALLON
MA
01
—
131025
CONNECTICARE, INC.
MA
01
—
500016108
RAILROAD MEDICARE
MA
01
—
NP2352
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/29/2006
Last updated
06/17/2008
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